Wu Qiong, Slesnick Natasha
Florida State University.
Ohio State University.
J Marital Fam Ther. 2020 Jan;46(1):81-94. doi: 10.1111/jmft.12364. Epub 2018 Oct 28.
This study examined the associations among maternal history of childhood abuse, substance use, and depressive symptoms and the change in children's depressive symptoms in therapy. Mothers (N = 183) were randomly assigned into either a family or an individual treatment condition. Mothers were assessed for their childhood abuse retrospectively, baseline depressive symptoms, and substance use, whereas their children's depressive symptoms were measured five times during 1.5 years. Maternal childhood abuse was associated with a slower decline in child depressive symptoms through elevated maternal depressive symptoms, only in individual treatment. Maternal substance use further moderated this mediation pathway. This study supports the efficacy of family therapy in protecting children of mothers with a substance use disorder and a history of childhood abuse.
本研究考察了母亲童年期受虐史、物质使用、抑郁症状之间的关联，以及治疗过程中儿童抑郁症状的变化。母亲（N = 183）被随机分配到家庭治疗或个体治疗组。对母亲进行回顾性童年期受虐情况、基线抑郁症状和物质使用情况的评估，而在1.5年期间对其子女的抑郁症状进行了5次测量。仅在个体治疗中，母亲童年期受虐通过母亲抑郁症状的升高与儿童抑郁症状下降较慢相关。母亲的物质使用进一步调节了这一中介途径。本研究支持家庭治疗在保护有物质使用障碍和童年期受虐史母亲的子女方面的有效性。
